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NPI Code Detail

MEDICARE: AMY SUE MARQUART

MEDICARE: AMY SUE MARQUART
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse232288NY

General Provider Information

NPI Number : 1609343490
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY SUE MARQUART
Provider Business Mailing Address
First Line : 17 E GENESEE ST STE 1
Second Line :
City : AUBURN
State : NY
Zip : 13021-4068
Country : US
Telephone Number : 315-253-9795
Fax Number : 315-253-3255
Provider Business Practice Location Address
First Line : 17 E GENESEE ST STE 1
Second Line :
City : AUBURN
State : NY
Zip : 13021-4068
Country : US
Telephone Number : 315-253-9795
Fax Number : 315-253-3255
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2018
Last Update Date : 10/30/2018

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Directions to “ AMY SUE MARQUART ” Practice Location

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